Today is Saturday, Nov. 18, 2017

Department of

Emergency Medicine

Curriculum/Schedule

The Emergency Medicine Residency Program at the University of Cincinnati Medical Center was both the first program in emergency medicine, and the first program to recognize the advantages unique to a four-year training program. 

In July 1982 the residency expanded from a three-year format to the current four-year format, which we believe offers superior training and clinical excellence. Our curriculum is designed to develop clinical competence through hands-on training in a broad range of specialties pertinent to Emergency Medicine. Responsibility in the Emergency Department is graduated to allow continuous development as a clinician and teacher throughout the four years.  

Despite being the first residency in Emergency Medicine, the University of Cincinnati takes pride in changing with the times to reflect the current atmosphere in Emergency Medicine. Ultrasound and EMS have been added to the curriculum to strengthen training in these areas. In addition, residents have unmatched elective time to explore research or subspecialty interests including operations, administration, toxicology, stroke, cardiovascular, wilderness and international medicine. 

Our curriculum supports a strong core of training in the Emergency Department with ICU training as well as subspecialty training in areas important to Emergency Medicine such as orthopedics, obstetrics & gynecology and plastic surgery. There are no “scut rotations”. All our rotations are carefully chosen and regularly reviewed to assure that they are appropriate to training strong Emergency Medicine clinicians. The residents play a critical role in the continuing evolution of our curriculum.

Residency Rotations by Year

 First Year Third Year 
 Orientation  1 month    Emergency Medicine*  7 months
 Emergency Medicine  4 months    Community ED*  1 month
 CommunityEM  1 month    SICU  1 month
 Pediatric EM  2 weeks    Plastic Surgery  2 weeks
 PICU
 1 month    Elective  1.5 months
 MICU  1 month    Vacation  1 month
 Ultrasound  2 weeks      
 Pediatric Anesthesia  1 week      
 EMS  1 week      
 Plastic Surgery  2 weeks      
 Orthopedic Surgery  1 month      
 Vacation  1 month      
         
 Second Year    Fourth Year
 Emergency Medicine*  5 months    Emergency Medicine*  6 months
 Community ED*  1 month    Community ED*  1 month
 CCU  1 month    Elective  4 months
 Neurocritical Care (NSICU)  1 month    Vacation  1 month
 Trauma  1 month      
 OB-GYN  1 month      
 Elective  1 month      
 Vacation  1 month      

 

*After first 6 months of the first year, pediatric EM shifts are integrated in adult EM months. EMS ground shifts and Air Care aeromedical shifts are also integrated into months in the Emergency  Department. After first year, Community EM shifts are integrated into every EM  month, such that the total shifts for Community EM are at least one-month  equivalent per year.

Additional Education Opportunities:

Grand Rounds

Grand Rounds on Wednesday mornings from 8am-1pm serves as the center of our didactic training. This is protected time and residents attend whether on-service or off-service, as the ED is staffed by attendings during this time. We frequently have visiting Emergency Medicine faculty as guest lecturers in addition to our own faculty expertise. In addition, residents hone their speaking skills by providing lectures to their colleagues. Our format is a mixture of evidence-based lectures, clinical pathologic cases (CPCs), Morbidity and Mortality, Journal Club, oral boards review, simulation and case reports.

Morning Report

In addition to Grand Rounds, our residents participate in daily Morning Report. Morning Report is an oral-boards format case presented each morning from 7:30 to 8:00 am.

Leadership Curriculum

Coming soon.

Procedures and Resuscitations

The Shock and Resuscitation Unit (SRU) in our Emergency Department is rarely quiet. Managed by the third-year resident, this busy area operates as both medical and traumatic resuscitation bays. Managing hundreds of resuscitations under attending guidance provides our residents critical care skills.

Procedural skills are developed throughout residency training, however the second-year resident has a special role as the primary proceduralist in the SRU. In addition to managing chest tubes and central lines, all emergency airways are managed by an Emergency Medicine R2, with the EM R4 providing back-up.

Teaching Opportunities

UC Emergency Medicine is committed to training our residents as teachers. Both clinical bedside and didactic teaching is emphasized here. All residents develop their presentation and speaking skills by delivering didactic lectures in Grand Rounds. 

Upper level residents and attending physicians help prepare junior residents for presentations to help them develop the strong presentation skills required for academic physicians. In addition, residents are responsible for precepting medical students on rotation in the Emergency Department.

Ample opportunity exists for those desiring additional teaching opportunities. Residents are encouraged to participate in the training of paramedics, as well as becoming ACLS and ATLS course instructors. In addition, the popular teaching elective emphasizes self-evaluation and improvement of bedside and didactic teaching skills. The fourth year represents an entire year of daily bedside teaching of both EM R1s and off-service residents.

Leadership Opportunities

In Cincinnati, we strongly believe in developing leadership skills and helping residents reach their full potential. Below is a list of some of the potential opportunities:

  • Administrative electives and project development
  • Education electives
  • Service on national committees such as SAEM, EMRA and ACEP
  • Resident Assistant Medical Directors of Air Care, Mobile Care, UCMC ED, West Chester Hospital ED
  • EMS Assistant Medical Director
  • Resident Research Track
  • Research: Basic, Clinical and Translational
  • Observational Medicine Protocol development
  • Urban Search and Rescue (USAR)
  • Disaster Medical Assistance Team (DMAT)
  • Special Weapons and Tactics- Medical (SWAT)
  • Mass Gathering Medicine

Research Opportunities

Residents have extensive opportunities to become involved in one of the most productive emergency medicine research programs in the nation. UC Emergency Medicine residents and faculty have presented at numerous meetings worldwide, including the Society for Academic Emergency Medicine (SAEM), American Heart Association, European Society of Cardiology, American College of Cardiology, Conference on Retroviruses and Opportunistic Infections, as well as other conferences. 

There are about 60 publications involving department faculty annually, many of which involve or are authored by residents. The department’s research division provides an extensive research infrastructure, involving multiple full-time personnel, to support the needs of its many faculty and residents who are active in research.

Elective time is available for interested residents to pursue research in 2nd, 3rd, and 4th years. Many residents also pursue research projects during free time in clinical rotations. Because of the volume of research activity in the department, residents are often able to partner with a project that is already planned or underway. Others successfully pursue their own entirely new directions with the mentorship from a faculty with an immense range of expertise and interests. 

A monthly Research Seminar Series has been developed to increase resident exposure to research and to explore the clinical relevance of ongoing projects. The department provides funding to support resident research and to allow residents to travel to present their original work at national meetings.

Resident Research Track

The UC Department of Emergency Medicine has a long and robust history of supporting resident research activity. Many residents conduct high quality investigations in collaboration with expert mentors. This baseline experience, available to all residents, is further augmented by the availability of the Resident Research Track.

The Residency Research Track is an individualized pathway by which highly interested residents can structure experiences and elective time in a focused and efficient way to achieve specific educational outcomes in research. This track is selected by a minority of residents, and is a highly significant development for those residents interested in a research career. Those in the track will use a significant portion of their time during residency to prepare for a potential career in research.

Interested residents will most likely enter this track relatively early in their residency, but it is not necessary to select the track at the start of residency or before initial research experience is gained. Rather, residents naturally glide into the research track as a gradual and natural evolution of their initial involvement with the usual resident research process.

Every resident brings unique experiences and expertise which in turn requires individualized experiences to achieve the ultimate educational outcomes of the track. In general, residents complete an experience in both prospective and retrospective research methodologies, are closely mentored by multiple research faculty, spend additional time learning about basic research subjects (i.e. budgeting, human subjects protections, methodology, research career development, etc.), and attempt to select and coordinate their projects to create an area of concentrated academic/research focus. 

Residents in this track also have additional opportunities for didactic education in research either locally or by traveling to national courses.

Overall, this intensive experience provides more structure and direction than would otherwise occur and does so in a more longitudinal way. For those on the track, the primary goal is to shift from “completing a project” to using projects and other experiences as tools to achieve larger career-development goals that are specifically relevant to preparing for a research career.